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On PRI and Total Hip Rehab…

How do you apply PRI concepts and specifically myokinematic repositioning and strength techniques to total hip arthroplasties? Considering that most have a surgical restriction of no internal rotation, can you get a person in left AFIR safely without being concerned about hip precautions?

Thank you for your question regarding PRI and total hip arthroplasties.  When treating a patient post-op we follow the recommended protocol per physicians request.  It’s only after their restrictions have been removed that we start to implement a PRI program.  There are some activities that would compliment a PRI program that you could perform right from the start, however, IR is always reserved for when the physician feels it’s best suited. 

Trying to do both the protocol and a PRI program requires some creativity on the therapist part!! 

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